Medical or dental device for determining the quality of a bone

ABSTRACT

A medical or dental device for determining a bone&#39;s quality by cutting a thread into the bone with a rotating threaded element comprises a control unit having a measurement circuit configured: (i) to determine values of the motor current via a first electrical contact device with which the motor drive is supplied for rotational drive of the threaded element that can be connected to the motor drive, the current values being a measure of the bone&#39;s quality; (ii) to monitor and/or to determine the penetration depth of the threaded element into the bone, and (iii) to generate measurement signals which show the relationship between the penetration depth and the determined current values or parameters derived therefrom, and to transmit these signals to a display unit, which displays the relationship between the determined current values or parameters derived therefrom, in particular the bone&#39;s quality, and the penetration depth.

CROSS REFERENCE TO RELATED APPLICATION

This application is a continuation of U.S. patent application Ser. No.15/873,853, filed Jan. 17, 2018, which is a U.S. bypass continuationapplication of International Application No. PCT/EP2016/066846, filedJul. 15, 2016, which in turn claims priority from pending EuropeanPatent Application No. 15177428.8, filed Jul. 20, 2015, which areincorporated herein by reference.

BACKGROUND Field

The invention relates to a medical, in particular dental or dentalsurgical, device for determining the quality of a bone by tapping athread into the bone with a rotating threaded element with at least onecutting edge.

Such a device is known from the patent application WO 2014/076653 A1.

SUMMARY

It would be advantageous to create a medical, in particular dental ordental surgical device for determining the quality of a bone by cuttinga thread into the bone using a rotating threaded element with at leastone cutting edge, which provides the user with succinct, rapidlycomprehensible information containing the most important data about thedetermined bone quality, in particular also including a qualitativedepth profile of the bone.

Described below are implementations of devices and methods that addressshortcomings of current approaches. According to one implementation, amedical, in particular dental or dental surgical, device for determiningthe quality of a bone by tapping a thread into the bone by a rotatingthreaded element having at least one cutting edge comprises a controlunit which has a first electrical contact device for connection to amotor drive, a second contact device for connection to a display unitand a measurement circuit operatively connected to the first electricalcontact device and the second contact device. The measurement circuit isconfigured or designed:

-   (i) to determine through the first electrical contact device values    of the motor current with which the motor drive is supplied for    driving the threaded element, which can be connected to the motor    drive to rotate, wherein the motor current values correlate with or    are substantially proportional to transmitted torque values of the    motor drive, and wherein the motor current values or torque values    are a measure of the quality of a bone,-   (ii) to monitor and/or to ascertain the depth of penetration of the    threaded element into the bone, and-   (iii) to generate measurement signals, which establish a    relationship between the determined values of the motor current, the    torque values which correlate with the motor current values or are    substantially proportional thereto or parameters derived therefrom    and the depth of penetration, and to transmit these measurement    signals via the second contact device to the display unit, so that    the display unit shows the relationship, based on the transmitted    measurement signals, between the determined motor current values,    the torque values which correlate with or are substantially    proportional the motor current values and/or parameters derived    therefrom, in particular the quality of a bone, and the depth of    penetration.

Displaying on a display unit the relationship between the determinedmotor current values, the torque values which correlate with or aresubstantially proportional the motor current values and/or parametersderived therefrom, in particular the quality of a bone, and the depth ofpenetration, allows the user to recognize the quality of the bone at aglance, in particular the course of or variations in bone quality with aproceeding depth of penetration and to make decisions based on thisinformation for the next treatment steps.

The motor current values determined by the measurement circuit are ameasure of the quality of the bone into which the threaded element isscrewed. The quality of the bone into which the threaded element isscrewed correlates in particular with the respective determined motorcurrent values or is substantially proportional thereto and/or can bederived from the respective determined motor current values, forexample, through a comparison table that is provided in the control unitor is associated with the measurement circuit and in which differentmotor current values are associated with different bone qualities. Thecontrol unit or the measurement circuit is thus designed in particularto compare or to show the relationship between the motor current valuesdetermined by the measurement circuit and the motor current valuesstored in the comparison table and/or the bone qualities.

The first electrical contact device for connection to a motor drive ispreferably connected to the motor drive by at least one supply line orcontrol line. The first electrical contact device is preferably designedas a releasable connection. A coupling connection for connection, inparticular via the at least one power supply or control line, to thefirst electrical contact device is preferably provided on the motordrive. The first electrical contact device preferably comprises aplurality of electrical contacts which are connected to electricalcontacts on the motor drive, in particular through the at least onesupply or control line.

The second contact device for connection to a display unit is designedas a hardwired, in particular releasable, contact device, for example.Preferably at least one power supply or control line, over which theaforementioned measurement signals of the measurement circuit inparticular can be transmitted to the display unit, connects the secondcontact device to the display unit or to a contact device provided onthe display unit. The measurement signals comprise in particularelectrical signals so that the second contact device and the contactdevice of the display unit are especially preferably designed aselectrical contact devices.

Alternatively, the second contact device is designed for connection to adisplay unit as a wireless contact device, in particular fortransmitting electromagnetic waves, for example, radio waves. The secondcontact device preferably thus comprises at least one transmitting unit,and the display unit includes at least one receiving unit, so that theaforementioned measurement signals of the measurement circuit or theelectromagnetic waves based thereon can be transmitted to the displayunit. The second contact device also comprises in particular a converterunit for converting the electrical measurement signals of themeasurement circuit into electromagnetic waves, in particular radiowaves.

The measurement circuit is preferably implemented by a microprocessorand corresponding software. However, it is also conceivable to designthe measurement circuit through hardware, in particular logic modules,or by through combination of a microprocessor with software andhardware. The microprocessor or microcontroller is especially preferablypart of the control unit and comprises in particular additional controlor regulating circuits, for example, for controlling or regulating themotor drive and/or the display unit and/or for processing of signalsthat can be generated, in particular by the user, through one or moreoperating elements or actuating elements. The operating elements oractuating elements are in particular part of the medical, in particulardental, device and are provided, for example, on the control unit and/oron the display unit and/or are connected thereto.

The determination of the depth of penetration (the advancingpenetration) of the threaded element into the bone can be achieved byvarious devices and methods, for example, by an opticalmeasurement/optical measurement device or by an impedance measurement/animpedance measurement device or through sound/a sound-measuring device.All these alternative embodiments however require additional components,for example, radiation, sound or electric current sources so thatimplementation in a device for determination of the bone quality istechnically complicated and expensive. The determination of the depth ofpenetration of the threaded element into the bone described in thisdocument has the great advantage in comparison with other possiblemethods that no additional components are required but instead it can becarried out exclusively with components that are necessary or presentanyway for tapping the thread.

Determination of the depth of penetration (the advancing penetration) ofthe threaded element into the bone is thus preferably based on at leastone parameter and/or measured value of at least one element of themedical, in particular dental, device for determination of the bonequality, which is necessary for cutting a thread with a rotatingthreaded element driven by a motor drive into the bone. In particular,the depth of penetration of the threaded element into the bone can bedetermined on the basis of at least one parameter and/or measured valueof at least one of the following elements: the motor drive, a gear unitdisposed between the motor drive and the threaded element, in particularin a handpiece, or the threaded element for cutting a thread into thebone.

The measurement circuit is preferably designed to process values of anangle of rotation of a rotor, in particular a magnetic rotor of themotor drive in order to monitor and/or determine the depth ofpenetration of the threaded element into the bone. The values of anangle of rotation of the rotor can be determined, for example, by angleof rotation—sensors assigned to the rotor, for example, by Hall-sensors.Alternatively, the values of an angle of rotation in the case of asensorless motor drive can be determined, for example, throughenergization of the coils or through short-term output of high-voltagepulses to the windings of a stator of the motor drive.

It is also conceivable to operate the motor drive at a constantrotational speed so that it is not necessary to measure the angle ofrotation values of the rotor but alternatively, a fixed or predeterminedangle of rotation value is stored in the control unit, in particular ina memory and can be transmitted to the measurement circuit.

The measurement circuit is preferably designed to take into account orto process the transmission ratio, in particular including the degree ofefficiency, of a gear unit of the medical, in particular dental, devicearranged between the motor drive and the threaded element in order tomonitor and/or determine the depth of penetration of the threadedelement into the bone in order. The gear unit preferably comprises twointermeshing gearwheels. The gear unit preferably comprises a reductiongear. The gear unit is preferably arranged in a handpiece, on which aholding device for the threaded element is also provided in particular.

The transmission ratio of the gear unit, in particular including thedegree of efficiency, is preferably stored in the control unit, inparticular in a memory and can be transmitted to the measurement circuitor queried by the measurement circuit. Alternatively, the transmissionratio of the gear unit, in particular including the degree ofefficiency, is stored in a memory element associated with or provided onthe gear unit or the handpiece and can be queried by the control unit orthe measurement circuit and can be transmitted directly or via a memoryof the control unit to the measurement circuit.

The measurement circuit is preferably designed to take into account atleast one property of the threaded element, for example, the slope ofthe at least one cutting edge, the shape of the cutting edge or theouter shape of the threaded element in order to monitor and/or determinethe depth of penetration of the threaded element into the bone. Thecutting edge of the threaded element is designed in particular as acutting element having a threaded shape.

The at least one property of the threaded element is preferably storedin the control unit, in particular in a memory, and can be transmittedto the measurement circuit or can be queried by the measurement circuit.Alternatively, the at least one property of the threaded element isstored in a memory element assigned to the threaded element or providedthereon and can be queried by the control unit or the measurementcircuit and can be transmitted to the measurement circuit eitherdirectly or via a memory of the control unit.

The measurement circuit is preferably designed to process and/or combinemultiple or all measured values, parameters or properties referred toabove in order to monitor and/or determine the depth of penetration (ofthe advancing penetration) of the threaded element into the bone. Inparticular the measurement circuit is designed to process at least onemeasured value, parameter or property of each of the motor drive, thegear unit and the threaded element in order to monitor and/or determinethe depth of penetration of the threaded element into the bone. It isthus advantageously possible to make a particularly accuratedetermination of the depth of penetration. The measurement circuit inparticular preferably calculates the depth of penetration of thethreaded element into the bone by using the following equation:

$D = \frac{S \times A}{T}$where D=the depth of penetration of the threaded element into the bone,S=the slope of the at least one cutting edge of the threaded element,A=the angle of rotation of the motor drive and T=the transmission ratioof the gear unit.

At least one predetermined depth of penetration is preferably stored inthe control unit, for example, 6 mm or 8 mm. Alternatively, severalpredetermined depths of penetration are stored in the control unit,which can be selected by the user through an operating element of thedevice for determining the bone quality or the control unit. The controlunit, for example, the measurement circuit or some other circuit, isespecially preferably designed to compare the monitored and/ordetermined depth of penetration of the threaded element with the atleast one predetermined depth of penetration in order to stop the motordrive and/or change its direction of rotation on reaching or exceedingthe at least one predetermined depth of penetration.

The control unit, in particular the measurement circuit, is preferablydesigned to begin the monitoring and/or determination or a recording orstorage of the depth of penetration (of the progressive penetration) ofthe threaded element into the bone only after reaching or exceeding apredetermined motor current threshold or torque threshold. This ensuresa reliable determination of the depth of penetration of the threadedelement because by reaching or exceeding the predetermined motor currentthreshold/torque threshold, it is ensured that the threaded element willin fact cut a thread and/or penetrate into the bone. The predeterminedmotor current threshold/torque threshold is preferably stored in thecontrol unit, in particular in a memory. The predetermined motor currentthreshold/torque threshold preferably cannot be altered by a user. Thecontrol unit, in particular the measurement circuit, is preferablydesigned to repeatedly compare the instantaneous motor currentvalue/torque value determined by the measurement circuit with thepredetermined motor current threshold/torque threshold until reachingthe predetermined motor current threshold/torque threshold.

The medical, in particular dental or dental surgical device preferablycomprises a display unit which is connected communicatively to thesecond contact device and which shows the relationship between thedetermined motor current values, the torque values which correlate withor are substantially proportional to the motor current values and/orparameters derived therefrom, in particular the quality of a bone, andthe depth of penetration, and in particular represents them graphically.The display unit comprises in particular a screen or a monitor. Thedisplay unit is optionally designed as a separate unit, which isconnected operatively to the control unit, in particular wirelesslythrough the second wireless contact device described above, or isdesigned as an integral part of the control unit.

The display unit shows the relation between the determined motor currentvalues, the torque values which correlate with or are substantiallyproportional the motor current values and/or parameters derivedtherefrom, in particular the quality of a bone, and the depth ofpenetration, in particular the qualitative depth profile of the bone,preferably represented graphically in the form of a diagram or aschematic representation of a bone structure having a layered structurein particular.

The diagram or the schematic representation is preferably designed sothat a motor current value, a torque value correlating with orsubstantially proportional to the motor current value and/or a parameterderived therefrom, in particular the quality of the bone, is/areassigned to each (individual) value for the depth of penetration. Themotor current value, the torque value and/or a parameter derivedtherefrom, in particular the quality of the bone, assigned to eachindividual value of the depth of penetration may either also comprise asingle value or averaged or combined values of several determined motorcurrent values, torque values and/or parameters derived therefrom, inparticular the quality of the bone. The combined values comprise, forexample, different classes of bone qualities, for example, bone qualityclass 1, bone quality class 2, bone quality class 3, etc.

Accordingly, the display unit is preferably designed to display adiagram or a schematic representation on the basis of the measurementsignals of the measurement circuit, such that a single value of thedetermined motor current, a torque value which correlates with or issubstantially proportional thereto and/or a parameter derived therefrom,in particular the quality of the bone, is assigned to each (individual)value of the depth of penetration. Alternatively, the display unit isdesigned to display a diagram or a schematic representation on the basisof the measurement signals of the measurement circuit, such that to each(individual) value of the depth of penetration averaged or combinedvalues of multiple determined motor current values, torque values and/orparameters derived therefrom, in particular the quality of a bone, areassigned.

The diagram displayed by the display unit is preferably designed as atwo-dimensional diagram plotting in particular the depth of penetration(in mm) on the abscissa and plotting the motor current value, the torquevalue which correlates with or is substantially proportional to themotor current value and/or a parameter derived therefrom, in particularthe quality of a bone on the ordinate. The diagram is preferablyembodied as a line diagram but of course any other type of diagram mayalso be used, for example, a bar chart, a bar graph or a scatter chart.

The schematic diagram of a bone structure, in particular a structure inlayers displayed by the display unit is preferably embodied as atwo-dimensional representation, with the depth of penetration (in mm)being plotted on its ordinate in particular. Preferably horizontal barsor strips extend from the ordinate representing average or combinedvalues of multiple determined motor current values, torque values whichcorrelate with or are essential proportional to the motor currentvalues, and/or parameters derived therefrom, in particular the qualityof the bone. The horizontal bars or strips especially preferably havedifferent markings or colors.

The medical, in particular dental, device for determining the quality ofthe bone preferably also comprises a motor drive and a handle elementwhich is or can be connected to the threaded element and which isconnectable to or comprises the motor drive. The motor drive ispreferably designed as an electric motor drive, for example, as abrushless electric motor. The handle element is preferably designed asan angled handpiece or a contra-angle handpiece. A holding device, inparticular a releasable chuck device, for the threaded element ispreferably provided on the handpiece, in particular on its front end orhead part. A lighting device for illuminating the preparation site withvisible light is preferably provided on the handpiece, in particular onits front end or head part.

The medical, in particular dental, device for determining the bonequality, in particular the control unit preferably comprises at leastone memory element, in which at least the instantaneous measured valuesof the determined motor current values, of the torque values whichcorrelate with or are substantially proportional to the motor currentvalues or parameters derived therefrom, in particular the quality of thebone, and the depth of penetration can be saved.

The control unit preferably comprises an evaluation circuit which isdesigned to compare with comparative values for determining the qualityof a bone and/or combine into bone quality classes and/or assign to bonequality classes at least one of: the motor current values determined bythe measurement circuit; the torque values which correlate with themotor current values or are substantially proportional thereto;parameters derived therefrom. The evaluation circuit is preferably atleast communicatively connected to the measurement circuit for receivingthe measurement signals or is designed as part of the measurementcircuit. The evaluation circuit is preferably connected to the displayunit, so that the display unit can display data, in particular bonequality classes, that has been processed, compared or combined by theevaluation unit.

The control unit, for example, the measurement circuit or the evaluationcircuit, is preferably additionally designed to determine the courseand/or the integrated data of the energy or power required or expendedby the motor drive during the cutting of the thread in a bone and totransmit a corresponding display signal to the display unit via thesecond contact device on the basis of the display signal transmitted, sothat the display unit displays, on the basis of the display signaltransmitted, the energy or power required or expended during the cuttingof the thread. The control unit preferably calculates the required orexpended energy or power based on the course or the integration of thedetermined motor current values or the torque values derived therefrom,the maximum depth of penetration and/or the angle of rotation, the timerequired until reaching the maximum depth of penetration and optionallythe rotational speed of the rotating threaded element to be determined.

The rotating threaded element preferably comprises a thread cutter or animplant, in particular a self-tapping implant. The rotating threadedelement comprises at least one cutting element that extends in a coil orspiral shape around a body of the threaded element, in particular acutting thread that cuts into a bone.

These and other embodiments will be described below with reference tothe following drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows a medical, in particular dental or dental surgical, devicefor determining the quality of a bone, having a handle element, athreaded element and an operating and/or control console.

FIG. 2 shows a first embodiment of a diagram that can be displayed bythe display unit and shows the relationship between the determinedtorque values, which correlate with or are substantially proportional tothe determined motor current values, and the depth of penetration, inparticular the qualitative depth profile of the bone.

FIG. 3 shows a second embodiment of a diagram that can be displayed bythe display unit and shows the relationship between the bone quality,based on the determined motor current values, and the depth ofpenetration, in particular the qualitative depth profile of the bone.

FIG. 4 shows an embodiment of a diagram that can be displayed by thedisplay unit and shows the relationship between the bone quality, basedon the determined motor current values, and the depth of penetration, inparticular the qualitative depth profile of the bone, on a schematicallyrepresented bone structure.

DETAILED DESCRIPTION

The medical, in particular dental or dental surgical, device 1, shown inFIG. 1 , for determining the quality of a bone, in particular a jawbone,comprises a handle element 9, a rotating threaded element 3 with atleast one cutting edge, a motor drive 5, in particular an electric motordrive, and a control unit 2 with a measurement circuit 6.

The handle element 9 designed as a contra-angle handpiece comprises ahead section 9A and a handle section 9B with a longitudinal axis 12. Therotating thread element 3 is attached to the head section 9A in such away, in particular in a releasable receptacle or holding device, that itis arranged at an angle to the longitudinal axis 12 of the handlesection 9B.

At least one or more in particular rotatable drive shafts 13 and a gearunit 7, in particular with a reduction gear are provided in the handleelement 9. The at least one drive shaft 13 and the gear unit 7 are inparticular connected to one another and to the motor drive 5 in such away that a rotating movement of the motor drive 5 can be transmitted viathe driveshaft 13 and the gear unit 7 to the rotating or rotatablethreaded element 3.

The (electric) motor drive 5 or electric motor is provided for drivingthe rotatable threaded element 3, the at least one rotatable driveshaft13 and the gear unit 7. The motor drive 5 is preferably an independentcomponent which can be connected releasably to the handle element 9and/or to the at least one rotatable driveshaft 13, for example, by acoupling device. Alternatively, the motor drive 5 is designed as part ofthe handle element 9. The (electric) motor drive 5 comprises inparticular a stator, a rotor 5A that can be moved relative thereto andhas at least one magnetic element, and at least one motor shaft whichcan be coupled or is connected to the driveshaft 13 of the handleelement 9.

The motor drive 5 and the handle element 9 are preferably connected toan operating and/or control console 11 via a supply tubing 14. At leastone supply line or control line is provided in the supply tubing 14, orin particular multiple electrical conductors are provided therein fortransmitting driving energy for the motor drive 5 and for transmittingcontrol, regulating or measurement signals, preferably also fortransmitting power for a lighting device. The supply tubing 14 isdetachably connected to the operating and/or control console 11, forexample, and is releasably or non-detachably for a user connected to themotor drive 5.

As can be seen from FIG. 1 , a control unit 2 comprising at least onemeasurement circuit 6 and preferably also an evaluation circuit 10 isprovided in the operating and/or control console 11. In addition tothese two circuits 6, 10, preferably at least one additional circuitand/or at least one element of the device 1 is provided in the console11, for example, a control or regulating circuit of the motor drive 5; acomparative circuit, for example, as part of the evaluation circuit 10which is designed to compare the motor current values which aredetermined by the measurement circuit, the torque values which correlatewith or are substantially proportional to the motor current values orparameters derived therefrom with comparative values for determining thequality of a bone; a display unit 4; at least one operating or actuatingelement 8 for adjusting or selecting operating parameters; a circuit, inparticular a circuit connected to the at least one operating element oractuating element 8, for operating or adjusting operating parameters forthe device 1 and/or for the electric motor drive 5: a memory unit, inwhich measurement signals, motor current values, torque values whichcorrelate with or are substantially proportional to the motor currentvalues, parameters derived therefrom, in particular the quality of abone, and/or values of the depth of penetration can be stored.

Alternatively, the measurement circuit 6, preferably also the evaluationcircuit 10 and at least one of the additional circuits or elements citedabove is/are provided on the handle element 9 and/or on the motor drive5, so that the device 1 for determining the quality of the bone isdesigned as a wireless handle element.

The control unit 2, in particular the measurement circuit 6, isoperatively connected to a first electrical contact device 2A, forexample, through electrical lines, and a second contact device 2B whichis preferably also an electric contact device. The first electricalcontact device 2A connects the control unit 2 or the measurement circuit6 to the motor drive 5, in particular via the supply tubing 14 and/or atleast one supply line or control line. The second electrical contactdevice 2B connects the control unit 2 or the measurement circuit 6 tothe display unit 4. The contact devices 2A, 2B are preferably part ofthe operating console and/or control console 11.

The measurement circuit 6 is designed, configured or programmed todetermine values of the motor current via the first electrical contactdevice 2A, supplied to the motor drive 5 for rotationally driving thethreaded element 3 which can be connected to the motor drive 5. Sincethe motor current values correlate with or are substantiallyproportional to the transmitted torque values of the motor drive 5, andsince the motor current values or torque values are a measure of thequality of a bone, the measurement circuit 6 is thus designed todetermine the bone quality, in particular while driving the rotatingthreaded element 3 or during the penetration of the rotating threadedelement 3 into the bone.

The measurement circuit 6 is additionally designed to monitor and/ordetermine the depth of penetration (i.e., the advance of penetration) ofthe threaded element 3 into the bone. To do so, the measurement circuit6, for example, processes angle of rotation values of the rotor 5A ofthe motor drive 5 and/or the transmission ratio, including in particularthe degree of efficiency, of the gear unit 7 of the handle element 9and/or at least one feature of the rotating threaded element 3, forexample, the slope of the at least one cutting edge, the shape of thecutting edge or the outside shape of the threaded element 3.

Finally the measurement circuit 6 is designed to generate measurementsignals which establish a relationship between the determined motorcurrent values, the torque values which correlate with or aresubstantially proportional to the motor current values or parametersderived therefrom and the depth of penetration and to transmit thesemeasurement signals to the display unit 4 via the second contact device2B.

The display unit 4 is designed to display the relationship between thedetermined motor current values, the torque values which correlate withor are substantially proportional to the motor current values and/orparameters derived therefrom, in particular the quality of a bone, andthe depth of penetration, in particular the qualitative depth profile ofthe bone, on the basis of the measurement signals transmitted by themeasurement circuit 6. The display unit 4 in particular comprises adisplay screen integrated into the housing of the operating and/orcontrol console 11, where diagrams or graphical displays can be shown.The display unit 4 is preferably also designed for display of operatingparameters of the device 1 and/or a parameter that can be varied by theoperating or control element 8.

Preferably at least one predetermined depth of penetration of therotating threaded element 3 into the bone is stored in the control unit2, in particular in a memory element. The control unit 2 is preferablydesigned to compare the monitored and/or determined depth of penetrationof the threaded element 3 with the at least one predetermined depth ofpenetration and, on reaching or exceeding the at least one predetermineddepth of penetration, to stop the motor drive 5 and/or to change itsdirection of rotation.

The evaluation circuit 10 being a part of the control unit 2 or of themeasurement circuit 6 is designed, configured or programmed to comparethe motor current values determined by the measurement circuit 6, thetorque values which correlate with or are substantially proportional tothe motor current values or parameters derived therefrom withcomparative values for determining the quality of a bone and/or tocombine them into bone quality classes and/or to assign them to bonequality classes. The evaluation circuit 10 is communicatively connectedto the display unit 4, so that the values compared by the evaluationcircuit 10 and/or the bone qualities and/or the bone quality classes canbe displayed by or on the display unit 4.

The control or regulating circuit of the motor drive or electric motor 5mentioned above is designed to control or regulate the motor drive 5through electrical signals via the supply tubing 14 or the at least onepower supply line or control line. If necessary, the control orregulating circuit is also provided to operate the motor drive 5 at apredetermined or fixed rotational speed value.

Preferably all of the circuitries and circuits 6, 10 mentioned above areembodied at electronic circuits, in particular as part of amicroprocessor.

FIG. 2 shows a two-dimensional diagram which can be displayed by thedisplay unit 4 and which shows the relationship between the determinedtorque values which correlate with or are substantially proportional tothe determined motor current values and the depth of penetration. Thedepth of penetration (preferably in mm) is plotted on the abscissa ofthe diagram and the torque values (preferably in N/mm or N/cm) areplotted on the ordinate. The diagram is embodied as a line diagramwherein a (separate) torque value is assigned to each individual valuefor the depth of penetration. Thus the user can read for each value ofthe depth of penetration the torque value determined by the measurementcircuit 6 and/or can estimate the quality of the bone therefrom because,as already described above, the motor current values determined by themeasurement circuit 6 or the torque values which correlate or aresubstantially proportional therewith provide a measure of the bonequality (the higher the motor current values or the torque values, thehigher or better is the quality of the bone).

FIG. 3 shows a two-dimensional diagram, which can be displayed by thedisplay unit 4 and which shows the relationship between the bonequality, which can be derived from the torque values determined by themeasurement circuit 6 or the motor current values which are determinedand correlate with the torque values or are substantially proportionalto them, and the depth of penetration. The depth of penetration(preferably in mm) is plotted on the abscissa of the diagram and thebone quality is plotted on the ordinate. The diagram is in turn embodiedas a line diagram, wherein a bone quality class is assigned to eachindividual value of the depth of penetration. Thus the user can read thebone quality or bone quality class for each value of the depth ofpenetration.

The diagram in FIG. 3 comprises, for example, four bone quality classesQ1-Q4, but of course more or fewer bone quality classes are alsoconceivable, for example, two, three, five, six or more bone qualityclasses. Each bone quality class comprises or represents a predefinedrange of motor current values determined by the measurement circuit 6 ortorque values which correlate with or are substantially proportionalthereto. Thus, for example, the bone quality class Q4 comprises torquevalues of 8.00 Ncm-6.00 Ncm, the bone quality class Q3 comprises torquevalues of 5.99 Ncm-4.00 Ncm, etc. Accordingly the bone quality shown inthe diagram in FIG. 3 is high at a low depth of penetration and at agreatly progressed depth of penetration, i.e., the bone is hard and thebone quality is low in the range of the medium depth of penetration,i.e., the bone is soft.

FIG. 4 shows an embodiment of a diagram, in particular a two-dimensionaldiagram, which can be displayed by the display unit 4, and whichreflects the relationship between the bone quality, based on the motorcurrent values determined by the measurement circuit 6, and the depth ofpenetration on a schematically diagramed bone structure 15. The bonestructure 15 also shows a borehole 16, likewise schematically,representing in particular the borehole into which the threaded element3 of the medical, in particular dental or dental surgical device 1 cutsa thread.

The depth of penetration (in mm) is plotted on the ordinate in thediagram in FIG. 4 . Horizontal bars or strips representing the qualityof the bone in the form of bone quality classes extend from theordinate. Even with this type of display, a bone quality class can stillbe assigned to each individual value of the depth of penetration.

Each bone quality class comprises or represents a predefined range ofmotor current values determined by the measurement circuit 6 or torquevalues which correlate or are substantially proportional therewith, asdescribed in conjunction with the diagram in FIG. 3 . The horizontalbars or strips especially preferably have different marks or colors, inparticular a separate mark or color being assigned to each bone qualityclass. For example, the diagram of FIG. 4 comprises three bone qualityclasses Q1-Q3, but of course more or fewer bone quality classes are alsoconceivable here, for example, two, four, five, six or more bone qualityclasses. The diagram according to FIG. 4 provides the user with aparticularly rapidly absorbable and readily understandable insight aboutthe course of bone quality along the depth of penetration.

The invention is not limited to the described embodiments but insteadincludes all embodiments that use or include the basic appropriatefunction principle of the invention according to the claims. In additionall the features of all the embodiments described and illustrated herecan be combined with one another.

What is claimed is:
 1. A medical or dental device for determining aquality of a bone by cutting a thread into the bone by a rotatingthreaded element having at least one cutting edge, wherein the medicalor dental device comprises: a control unit which comprises a firstelectrical contact device for connection to a motor drive, a secondcontact device for connection to a display unit, and a measurementcircuit, which is operatively connected to the first electrical contactdevice and to the second contact device, wherein the measurement circuitis configured: (i) to determine values of the motor current via thefirst electrical contact device, the motor current being supplied to themotor drive to rotatably drive the threaded element that can beconnected to the motor drive, wherein the motor current values correlatewith or are substantially proportional to transmitted torque values ofthe motor drive, and wherein the motor current values or torque valuesare a measure of the quality of the bone, (ii) to monitor or determinethe depth of penetration of the threaded element into the bone, and(iii) to generate measurement signals which show the relationshipbetween the depth of penetration and at least one of: the determinedmotor current values, the torque values which correlate with or aresubstantially proportional to the motor current values, parametersderived from the determined motor current values or parameters derivedfrom the torque values, and to transmit the measurement signals via thesecond contact device to the display unit, so that the display unitdisplays on the basis of the transmitted measurement signals therelationship between the depth of penetration and at least one of: thedetermined motor current values, the torque values which correlate withor are substantially proportional to the motor current values,parameters derived from the determined motor current values orparameters derived from the torque values, wherein the control unit isconfigured to start the monitoring or determination or recording of thedepth of penetration of the threaded element into the bone at thebeginning of the penetration of the threaded element into the bone andreaching or exceeding a predetermined motor current threshold or torquethreshold.
 2. The medical or dental device according to claim 1, whereinthe measurement circuit is configured to process angle of rotationvalues of a rotor of the motor drive in order to monitor or determinethe depth of penetration of the threaded element into the bone.
 3. Themedical or dental device according to claim 1, wherein the measurementcircuit is configured to take into account the transmission ratio of agear unit arranged between the motor drive and the threaded element ofthe medical or dental device in order to monitor or determine the depthof penetration of the threaded element into the bone.
 4. The medical ordental device according to claim 1, wherein the measurement circuit isconfigured to take into account at least one property of the threadedelement in order to monitor or determine the depth of penetration of thethreaded element into the bone, wherein at least one property of thethreaded element comprises at least one of: the slope of the at leastone cutting edge of the threaded element, the shape of the cutting edgeor the outer shape of the cutting element.
 5. The medical or dentaldevice according to claim 1, wherein at least one predetermined depth ofpenetration is stored in the control unit.
 6. The medical or dentaldevice according to claim 5, wherein the control unit is configured tocompare the monitored or determined depth of penetration of the threadedelement with the at least one predetermined depth of penetration and, onreaching or exceeding the at least one predetermined depth ofpenetration, to stop the motor drive or to change its direction ofrotation.
 7. The medical or dental device according to claim 1, whereina plurality of predetermined depths of penetration are stored in thecontrol unit which can be selected by the user through an actuatingelement.
 8. The medical or dental device according to claim 1, furthercomprising a display unit that is communicatively connected to thesecond contact device and which displays the relationship between thedepth of penetration and at least one of: the determined motor currentvalues, the torque values which correlate with or are substantiallyproportional the motor current values, parameters derived from thedetermined motor current values or parameters derived from the torquevalues.
 9. The medical or dental device according to claim 8, whereinthe display unit depicts a schematic representation of a bone structureon which the depth of penetration and one of the parameters derived fromthe motor current values or parameters from the torque values are shown.10. The medical or dental device according to claim 8, wherein thedisplay unit is configured to display a diagram or a schematicrepresentation on the basis of the measurement signals of themeasurement circuit such that at least one of: a value of the determinedmotor current, a torque value that correlates with or is substantiallyproportional therewith, a parameter derived from the determined motorcurrent value or a parameter derived from the torque value is assignedto each value of the depth of penetration.
 11. The medical or dentaldevice according to claim 8, wherein the display unit is configured todisplay a diagram or a schematic representation on the basis of themeasurement signals of the measurement circuit such that averaged orcombined values of at least one of: a plurality of determined motorcurrent values, a plurality of torque values correlating with orsubstantially proportional to the motor current values, or a pluralityof parameters derived from the torque values are assigned to the valuesfor the depth of penetration.
 12. The medical or dental device accordingto claim 1, wherein the device additionally comprises a motor drive anda handle element connectable to the threaded element and which isconnectable to the motor drive or comprises the motor drive.
 13. Themedical or dental device according to claim 1, wherein the control unitcomprises an evaluation circuit which is configured to compare the motorcurrent values determined by the measurement circuit, the torque valueswhich correlate with or are substantially proportional to the motorcurrent values, parameters derived from the motor current values orparameters derived from the torque values with comparative values fordetermining the quality of a bone or to assign them into bone qualityclasses.
 14. The medical or dental device according to claim 1, whereinthe control unit is additionally configured to determine the energy,work or power required or expended by the motor drive during the cuttingof the thread in a bone and to transmit a corresponding display signalvia the second contact device to the display unit, so that the displayunit displays the energy, work or power required or expended during thecutting of the thread on the basis of the transmitted display signal.15. The medical or dental device according to claim 1, wherein therotating threaded element comprises a thread cutter or an implant. 16.The medical or dental device according to claim 1, wherein theparameters derived from the determined motor current values or thetorque values comprise the quality of the bone.
 17. A medical or dentaldevice for determining a quality of a bone by cutting a thread into thebone by a rotating threaded element having at least one cutting edge,wherein the medical or dental device comprises: a control unit whichcomprises a first electrical contact device for connection to a motordrive, a second contact device for connection to a display unit, and ameasurement circuit, which is operatively connected to the firstelectrical contact device and to the second contact device, wherein themeasurement circuit is configured: (i) to determine values of the motorcurrent via the first electrical contact device, the motor current beingsupplied to the motor drive to rotatably drive the threaded element thatcan be connected to the motor drive, wherein the motor current valuescorrelate with or are substantially proportional to transmitted torquevalues of the motor drive, and wherein the motor current values ortorque values are a measure of the quality of the bone, and (ii) tomonitor or determine the depth of penetration of the threaded elementinto the bone, wherein the control unit is configured to assign to bonequality classes one or more of the determined motor current values, thetorque values associated therewith, parameters derived from the motorcurrent values or parameters derived from the torque values and togenerate a visual representation of the bone quality classes relative tothe depth of penetration.
 18. The medical or dental device according toclaim 17, wherein the measurement circuit is configured to process angleof rotation values of a rotor of the motor drive in order to monitor ordetermine the depth of penetration of the threaded element into thebone.
 19. The medical or dental device according to claim 17, whereinthe measurement circuit is configured to take into account thetransmission ratio of a gear unit arranged between the motor drive andthe threaded element of the medical or dental device in order to monitoror determine the depth of penetration of the threaded element into thebone.
 20. The medical or dental device according to claim 17, whereinthe measurement circuit is configured to take into account at least oneproperty of the threaded element in order to monitor and/or determinethe depth of penetration of the threaded element into the bone, whereinat least one property of the threaded element comprises at least one ofthe slope of the at least one cutting edge of the threaded element, theshape of the cutting edge or the outer shape of the cutting element. 21.The medical or dental device according to claim 17, wherein at least onepredetermined depth of penetration is stored in the control unit. 22.The medical or dental device according to claim 21, wherein the controlunit is configured to compare the monitored or determined depth ofpenetration of the threaded element with the at least one predetermineddepth of penetration and, on reaching or exceeding the at least onepredetermined depth of penetration, to stop the motor drive or to changeits direction of rotation.
 23. The medical or dental device according toclaim 17, further comprising a display unit that is communicativelyconnected to the second contact device and which displays the visualrepresentation of the bone quality classes relative to the depth ofpenetration.
 24. The medical or dental device according to claim 23,wherein the display unit displays the relationship between the depth ofpenetration and at least one of: the determined motor current values,the torque values which correlate with or are substantially proportionalthe motor current values, parameters derived from the determined motorcurrent values or parameters derived from the torque values.
 25. Themedical or dental device according to claim 17, wherein the deviceadditionally comprises a motor drive and a handle element connectable tothe threaded element and which is connectable to the motor drive orcomprises the motor drive.
 26. The medical or dental device according toclaim 17, wherein the control unit comprises an evaluation circuit whichis configured to compare the motor current values determined by themeasurement circuit, the torque values which correlate with or aresubstantially proportional to the motor current values, parametersderived from the motor current values or parameters derived from thetorque values with comparative values for determining the quality of abone or to assign them into bone quality classes.